Childs, Jessica Braddock

Childs, Jessica Braddock is an sole proprietor health care provider with primary practice located at 1265 Cliff Gookin Blvd , Tupelo MS 38801-6749. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Childs, Jessica Braddock can be contacted via phone (662) 407-2544.

Contact Information

Primary practice address
1265 Cliff Gookin Blvd Tupelo MS 38801-6749
Phone: (662) 407-2544
Fax: (662) 620-9915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R874853 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 905426 Mississippi

Profile Details

NPI number 1467095869
LBN Legal business name Childs, Jessica Braddock
Credentials AGNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2019
Last updated Oct 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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